Individual
DR. LESLIE ANNE BOTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
911 PARK AVE, NEW YORK, NY 10075-0385
(212) 288-7193
Mailing address
130 E 77TH ST FL 7, NEW YORK, NY 10075-1851
(212) 434-3959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
313997
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
313997
NY
Other
Enumeration date
03/27/2018
Last updated
10/25/2022
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